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`
`
`Complete and send this form, together with applicable fee(s), by mail or fax, or via EFS-ch.
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`PART B - FEE(S) TRANSMITTAL
`
`By mail, send to:
`
`By fax, send to:
`
`(571)-273—2885
`
`CURRENT CORRESPONDENCE ADDRESS (Note: Use Block 1 for any change of address)
`
`08/15/2019
`
`7590
`23565
`Hoffmann & Baron LLP
`.
`.
`6900 Jericho Turnpike
`Suite 200
`Syossct, NY 11791
`
`Mail Stop ISSUE FEE
`Commissioner for Patents
`PO. Box 1450
`Alexandria, Virginia 22313—1450
`
`INSTRUCTIONS: This form should be used for transmitting the ISSUE FEE and PUBLICATION FEE (ifrequired). Blocks l through 5 should be completed where appropriate. A11
`further correspondence including the Patent, advance orders and notification ofmaintenance fees will be mailed to the current correspondence address as indicated unless corrected
`
`below or directed Otherwise in Block 1, by (a) specifying a new correspondence address; and/or (b) indicating a separate "FEE ADDRESS" for maintenance fee notifications.
`Note: A certificate of mailing can only be used for domestic mailings of the
`Fee(s) Transmittal. This certificate cannot be used for any other accompanying
`papers. Each additional paper, such as an assignment or formal drawing, must
`have its own certificate of mailing or transmission.
`Certificate of Mailing or Transmission
`I hereby certify that this Feets) Transmittal is being deposited with the United
`States Postal Service with sufficient postage for first class mail in an envelope
`addressed to the Mail Stop ISSUE FEE address above, or being transmitted to
`the USPTO Via EFS—Web or by facsimile to (571) 273—2885, on the date below.
`Angela Gehring
`(Typed or printed name)
`/Angela Gehring/
`(Signature)
`November 12, 2019
`(Date)
`
`
`
`
`
`
`
`APPLICATION NO.
`FILING DATE
`FIRST NAMED INVENTOR
`ATTORNEY DOCKET NO.
`CONFIRMATION NO.
`
`16/145,124
`09/27/2018
`Juan CUBILLO
`2750—2 CON
`1071
`
`TITLE OF INVENTION: TOOL BOX USEFUL FOR PAIN'I'ERS
`
`APPLN. TYPE
`
`ENTITY STATUS
`
`ISSUE FEE DUE
`
`PUBLICATION FEE DUE
`
`PREV. PAID ISSUE FEE
`
`TOTAL FEE(S) DUE
`
`DATE DUE
`
`
`
`
`
`nonprovisional
`
`MICRO
`
`$250
`
`.
`
`$0.00
`
`$0.00
`
`$250
`
`1 1/15/2019
`
`ORTIZ, RAFAEL ALFREDO
`
`3736
`
`206—361000
`
`D Change of correspondence address (or Change of Correspondence
`Address form P'l‘O/SB/ 122) attached.
`
`ange 0 correspon enCC 3
`
` . or printing on t e patent ront page, lst
`
`
`CFR
`1.363).
`(1) The names of up to 3 registered patent attorneys
`
`or agents OR, alternatively,
`
`(2) The name of a single firm (having as a member a
`
`registered attorney or agent) and the names of up to
`2 registered patent attorneys or agents. If no name is
`1:] ”Fee Address" indication (or ”Fee Address” Indication form PTO/
`
`listed, no name will be printed.
`3
`SIB/47; Rev 03-09 or more recent) attached. Use of a Customer
`Number is required.
`
`3, ASSIGNEE NAME AND RESIDENCE DATA TO BE PRINTED ON THE PATENT (print or type)
`PLEASE NOTE: Unless an assignee is identified below, no assignee data will appear on the patent. If an assignee is identified below. the documcnt must have been previously
`recorded, or filed for recordation, as set forth in 37 CFR 3.11 and 37 CFR 3.81(a). Completion of this form is NOT a substitute for filing an assignment.
`(A) NAME OF ASSIGNEE
`(B) RESIDENCE: (CITY and STATE OR COUNTRY)
`
`1 HOffmann & Barom LLP
`
`2
`
`
`
`
`Please check the appropriate assignee category or categories (will not be printed on the patent) : D Individual 1:1 Corporation or other private group entity D Government
`4a. Fees submitted:
`mlssue Fee
`i:IPublication Fee (if required)
`DAdvance Order - t? of Copies
`41). Method of Payment: (Please,first reapply any previously paidfee shown above)
`
`D Non-electronic payment by credit card (Attach form PTO-2038)
`D Enclosed check
`[X] Electronic Payment via EFS—Web
`The Director is hereby authorized to charge the required fee(s), any deficiency, or credit any overpayment to Deposit Account No. 08-2461
`
`
`
`5. Change in Entity Status (from status indicated above)
`NOTE: Absent a valid certification of Micro Entity Status (see forms PTO/SB/ 15A and 15B), issue
`.
`.
`.
`.
`.
`..
`fee payment in the micro entity amount will not be accepted at the risk of application abandonment.
`3 Applicant certifying micro entity status. See 37 CPR 1‘29
`NOTE: If the application was previously under micro entity status, checking this box will be taken
`torbc a notification of loss of entitlement to micro entity status.
`3 Applicant asserting small entity status. See 37 CFR 1'27
`entityfistatus, as applicable.
`:1 Applicant changing to regular undiscounted fee status.
`NOTE: This form must be si
`tied in accordance with 37 CFR 1.31 and 1.33. See 37 CFR 14 for signature re uirements and certifications.
`
`
`Date November 12, 2019
`Authorized Signature /gie yoon/
`
`Typed or printed name G16 YOOH
`Registration No. 72,417
`
`
`PTOL—85 Part B (08-18) Approved for use through 01/31/2020
`
`Page 2 of 3
`OMB 0651—0033
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`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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`